Global patterns of leukemia by subtype, age, and sex in 185 countries in 2022

Global patterns of leukemia by subtype, age, and sex in 185 countries in 2022

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ABSTRACT In 2022, leukemia ranked as the second most common hematological malignancy after non-Hodgkin lymphoma worldwide. However, updated global estimates of leukemia incidence by subtype


are unavailable. We estimated leukemia incidences for different leukemia subtypes by country, world region, and human developmental index using data from the Cancer Incidence in Five


Continents databases combined with the GLOBOCAN 2022 estimates of leukemia in 185 countries. We estimated sex-specific age-standardized rates (ASRs) per 100 000 for children (0–19 years) and


adults (20+ years). In adults, the most common leukemia worldwide was AML (males: 38%, ASR = 3·1; females: 43%, ASR = 2·4), followed by CLL (males: 28%, ASR = 2·2; females: 24%, ASR = 1·3).


In very high HDI countries, the ASR of CLL was higher than the ASR of AML among males (5·2 versus 4·3, respectively) and similar among females (2·9 and 3·0, respectively). In children, the


most common leukemia was ALL (boys: 70%, ASR = 2·4; girls: 68%, ASR = 1·8) followed by AML (boys: 22%, ASR = 0·76; girls: 25%, ASR = 0·65). ALL proportions varied across world sub-regions


from 57 to 78% among boys, and from 49 to 80% among girls. Our findings suggest clear geographical patterns of leukemia subtypes in adults and children. Further research into underlying


causes that explain these variations is needed to support cancer control strategies for prevention and plan national healthcare needs. Access through your institution Buy or subscribe This


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ACKNOWLEDGEMENTS This study was supported by the International Agency for Research on Cancer / World Health Organization and the Faculty of Medicine, University of Bergen (PhD research


fellowship). We thank all the cancer registries who contributed data to the Cancer Incidence in Five Countries and/or GLOBOCAN 2022. FUNDING The work was funded by The International Agency


for Research on Cancer and the Faculty of Medicine, University of Bergen. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Cancer Surveillance Branch, International Agency for Research on


Cancer, Lyon, France Dagrun S. Daltveit, Eileen Morgan, Murielle Colombet, Eva Steliarova-Foucher & Isabelle Soerjomataram * Section for Epidemiology and Medical Statistics, Department


of Global Public Health and Primary Care, University of Bergen, Bergen, Norway Dagrun S. Daltveit * Casablanca Cancer Registry, Ibn Rochd Hospital, Casablanca, Morocco Karima Bendahhou *


CIBER Epidemiology and Public Health CIBERESP ISCIII, Madrid, Spain Rafael Marcos-Gragera * Epidemiology Unit and Girona Cancer Registry, Oncology Coordination Plan, Department of Health,


Autonomous Government of Catalonia, Catalan Institute of Oncology (ICO), Girona Biomedical Research Institute (IDIBGI-CERCA), Josep Carreras Leukemia Research Institute, Girona, Spain Rafael


Marcos-Gragera * National Central Cancer Registry, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union


Medical College, Beijing, China Zheng Rongshou * Epidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, UK Alexandra Smith * Institute of


Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences, Tianjin, China Hui Wei Authors * Dagrun S. Daltveit View author publications You can also search for this


author inPubMed Google Scholar * Eileen Morgan View author publications You can also search for this author inPubMed Google Scholar * Murielle Colombet View author publications You can also


search for this author inPubMed Google Scholar * Eva Steliarova-Foucher View author publications You can also search for this author inPubMed Google Scholar * Karima Bendahhou View author


publications You can also search for this author inPubMed Google Scholar * Rafael Marcos-Gragera View author publications You can also search for this author inPubMed Google Scholar * Zheng


Rongshou View author publications You can also search for this author inPubMed Google Scholar * Alexandra Smith View author publications You can also search for this author inPubMed Google


Scholar * Hui Wei View author publications You can also search for this author inPubMed Google Scholar * Isabelle Soerjomataram View author publications You can also search for this author


inPubMed Google Scholar CONTRIBUTIONS IS, EM, and DSD designed and planned the study with support from AS. MC prepared the data. DSD performed the data analyses and wrote the first draft of


the manuscript with support from IS and EM. All authors had access to data, interpreted the results, revised the manuscript, and were responsible for the final decision to submit for


publication. Where authors are identified as personnel of the International Agency for Research on Cancer / World Health Organization, the authors alone are responsible for the views


expressed in this article and they do not necessarily represent the decisions, policy, or views of the International Agency for Research on Cancer / World Health Organization. CORRESPONDING


AUTHOR Correspondence to Dagrun S. Daltveit. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ETHICS APPROVAL AND CONSENT TO PARTICIPATE The study uses


anonymized and aggregated data publicly available in open-access repositories. Thus, ethical approval is not required. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral


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manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Daltveit,


D.S., Morgan, E., Colombet, M. _et al._ Global patterns of leukemia by subtype, age, and sex in 185 countries in 2022. _Leukemia_ 39, 412–419 (2025).


https://doi.org/10.1038/s41375-024-02452-y Download citation * Received: 27 September 2024 * Revised: 21 October 2024 * Accepted: 23 October 2024 * Published: 20 November 2024 * Issue Date:


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